Active NPI
Elisa Rochelle Dalupang, PT
- Physical Therapist
- Boonsboro, MD
National Provider Identifier
1528525318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22933
- Practice address
- 8507 Mapleville Rd
Boonsboro, MD 21713-1818 - Phone
- (301) 671-5182
- Fax
- (301) 671-5150
- NPI assigned
- Feb 27, 2019
- Last updated
- Apr 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22933 | MD | Primary |
Addresses
Primary practice location
8507 Mapleville Rd
Boonsboro, MD 21713-1818
Mailing address
5903 Leben Dr
Frederick, MD 21703-2899
Phone (443) 683-0473
Other names 1
- Elisa Rochelle C Flores
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22933 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1528525318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5903 LEBEN DR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217032899",
"telephone_number": "443-683-0473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8507 MAPLEVILLE RD",
"city": "BOONSBORO",
"state": "MD",
"postal_code": "217131818",
"telephone_number": "301-671-5182",
"fax_number": "301-671-5150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALUPANG",
"first_name": "ELISA ROCHELLE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-27",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "22933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELISA ROCHELLE",
"last_name": "FLORES",
"middle_name": "C",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Boonsboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.